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Article #2344

Re: A case to make you think

#2344
From: Charles S. Krin
Date: Sat, 01 Feb 1997 00:00
42 lines
1975 bytes
paul.canning@ukonline.co.uk (Paul Canning) wrote:

>On Fri, 31 Jan 1997 16:47:41 GMT, Krin135@AOL.com (Charles S. Krin, DO
>FAAFP) wrote:

inital post snipped
>>Question 1: What other information do you want to get from the mother
>>or the visiting nurse?

>Has the baby been assessed and are there any similar symptoms?
Baby is doing fine, and showing good weight gain.
>Is there a partner?
yes, would you like more information.
>Is the mother on any form of medication? e.g. Aspirin or other
>anticoagulant.
She takes Acetominophen for headaches

>>Question 2: How fast do you want to get this patient to the hospital?
>Immediate admission.
good
>>Question 3: What would your first treatment be?
>Give oxygen via facemask, encourage controlled breathing.
>Obtain venous access.
good
>>Question 4: (for advanced credit...) What is your differential list of
>>problems (diagnosis list) at this time.
>? Diaphrammatic hernia.
>? Thoracic aneurysm.
>? Appendicitis possibly ruptured.
>? Trauma/physical abuse.
only one of four even close. I've had some email responses already,
and have logged my responses with cc:s to myself to keep things
straight.

>"Smoke me a kipper, I'll be back for breakfast." 
> Ace Rimmer. (RD)

Charles S. Krin, DO FAAFP
KC5EVN Krin135@AOL.com
"Reckless, Hell! I hit just where I was aimin'"
"Bubba Shot the Jukebox," Mark Chestnut 1995
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From: ckrin@Iamerica.net (Charles S. Krin)
Subject: Re: A case to make you think
Date: 1997/02/01
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